Jason Holloway, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

024522 Issued in NY

Practice address

80 5TH Ave RM 1406
New York, NY 10011-8015

Phone

(914) 980-5688

Fax

(833) 767-2931

NPI assigned

Aug 30, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jane Holloway Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jason Holloway PSYD PLLC

  • Psychologist
  • New York, NY
  • NPI 1659221612
  Medicare reassignment NPD Authorized official
• Icahn School of Medicine at Mount Sinai

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • New York, NY
  • NPI 1033482518
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466
  NPD
• Romy a Reading, PHD, Psychology PLLC

  • Clinical Psychologist
  • New York, NY
  • NPI 1669125514
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1003583725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 5TH AVE RM 1406",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 5TH AVE RM 1406",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118015",
            "telephone_number": "914-980-5688",
            "fax_number": "833-767-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "JASON",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "HOLLOWAY",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Carl Hollnagel Jr., PT,DPT
• Audrey Hollo
• Wesley Hollomon, M.D.
• Christine Michele Holloway
• Glen Holloway, D.D.S
• Sandra Wendy Holloway, RN
• Holly Hart, PSYD, PC
• Olivia Jane Hollyer, PA-C
• Ellen Hollywood, FNP-BC
• Amy Holman, LCSW

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.